Overtube-assisted enteroscopy and capsule endoscopy for the diagnosis of small-bowel polyps and tumors: a systematic review and meta-analysis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSULBARAN, Marianny
dc.contributor.authorMOURA, Eduardo de
dc.contributor.authorBERNARDO, Wanderley
dc.contributor.authorMORAIS, Cintia
dc.contributor.authorOLIVEIRA, Joel
dc.contributor.authorBUSTAMANTE-LOPEZ, Leonardo
dc.contributor.authorSAKAI, Paulo
dc.contributor.authorMOENKEMUELLER, Klaus
dc.contributor.authorSAFATLE-RIBEIRO, Adriana
dc.date.accessioned2016-07-04T13:55:14Z
dc.date.available2016-07-04T13:55:14Z
dc.date.issued2016
dc.description.abstractBackground and study aims: Several studies have evaluated the utility of double-balloon enteroscopy (DBE) and capsule endoscopy (CE) for patients with small-bowel disease showing inconsistent results. The aim of this study was to determine the sensitivity and specificity of overtube-assisted enteroscopy (OAE) as well as the diagnostic concordance between OAE and CE for small-bowel polyps and tumors. Patients and methods: We conducted a systematic review and meta-analysis of studies in which the results of OAE were compared with the results of CE for the evaluation of small-bowel polyps and tumors. When data for surgically resected lesions were available, the histopathological results of OAE and surgical specimens were compared. The sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio for the diagnosis of small-bowel polyps and tumors were analyzed. Secondarily, the rates of diagnostic concordance and discordance between OAE and CE were calculated. Results: There were 15 full-length studies with a total of 821 patients that met the inclusion criteria. The pooled sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio were as follows: 0.89 (95% confidence interval [CI] 0.84-0.93), with heterogeneity chi(2)=41.23 (P = 0.0002) and inconsistency (I-2)=66.0 %; 0.97 (95 % CI 0.95-0.98), with heterogeneity chi(2)=45.27 (P=0.07) and inconsistency (I-2)=69.1 %; 16.61 (95 % CI 3.74-73.82), with heterogeneity Cochrane's Q=225.19 (P<0.01) and inconsistency (I-2)=93.8 %; and 0.14 (95 % CI 0.05-0.35), with heterogeneity Cochrane's Q=81.01 (P<.01) and inconsistency (I-2)=82.7 %, respectively. A summary receiver operating characteristic curve (SROC) curve was constructed, and the area under the curve (AUC) was 0.97. Conclusion: OAE is an accurate test for the detection of small-bowel polyps and tumors. OAE and CE have a high diagnostic concordance rate for small-bowel polyps and tumors. This study was registered in the PROSPERO international database (www.crd.york.ac.uk/prospero/) with the study number CRD42015016000.
dc.description.indexPubMed
dc.identifier.citationENDOSCOPY INTERNATIONAL OPEN, v.4, n.2, p.E151-E163, 2016
dc.identifier.doi10.1055/s-0041-108261
dc.identifier.eissn2196-9736
dc.identifier.issn2364-3722
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/13928
dc.language.isoeng
dc.publisherGEORG THIEME VERLAG KG
dc.relation.ispartofEndoscopy International Open
dc.rightsopenAccess
dc.rights.holderCopyright GEORG THIEME VERLAG KG
dc.subject.otherdouble-balloon enteroscopy
dc.subject.othersingle-center
dc.subject.otherintestinal-diseases
dc.subject.othertherapeutic yield
dc.subject.othermulticenter
dc.subject.otherexperience
dc.subject.othermanagement
dc.subject.otherpathology
dc.subject.otherimpact
dc.subject.othertrial
dc.subject.wosGastroenterology & Hepatology
dc.titleOvertube-assisted enteroscopy and capsule endoscopy for the diagnosis of small-bowel polyps and tumors: a systematic review and meta-analysis
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalMOENKEMUELLER, Klaus:UAB Sch Med, Div Gastroenterol & Hepatol, Basil I Hirschowitz Endoscop Ctr Excellence, Birmingham, AL USA
hcfmusp.contributor.author-fmusphcMARIANNY NAZARETH SULBARAN NAVA
hcfmusp.contributor.author-fmusphcEDUARDO GUIMARAES HOURNEAUX DE MOURA
hcfmusp.contributor.author-fmusphcWANDERLEY MARQUES BERNARDO
hcfmusp.contributor.author-fmusphcCINTIA MORAIS LIMA DOS SANTOS LATORRE
hcfmusp.contributor.author-fmusphcJOEL FERNANDEZ DE OLIVEIRA
hcfmusp.contributor.author-fmusphcLEONARDO ALFONSO BUSTAMANTE LOPEZ
hcfmusp.contributor.author-fmusphcPAULO SAKAI
hcfmusp.contributor.author-fmusphcADRIANA VAZ SAFATLE RIBEIRO
hcfmusp.description.beginpageE151
hcfmusp.description.endpageE163
hcfmusp.description.issue2
hcfmusp.description.volume4
hcfmusp.origemWOS
hcfmusp.origem.pubmed26878042
hcfmusp.origem.wosWOS:000370816700007
hcfmusp.publisher.citySTUTTGART
hcfmusp.publisher.countryGERMANY
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